Individual
ARMANDO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2123 FRANKLIN DR NE, PALM BAY, FL 32905-4022
(321) 724-1614
Mailing address
13315 SPRUCE RUN DR APT 103, NORTH ROYALTON, OH 44133-4295
(619) 771-5000
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1015147
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
468187
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
9564610
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11013408
FL
Other
Enumeration date
01/11/2021
Last updated
06/29/2021
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